— 照護管理 · EASY · MCQ —
護理師在內外科病房進行護理分派，下列哪位病人適合分配給執業護士（LPN/LVN）負責？
A nurse is working in a medical-surgical unit and is assigning care to a team. Which client should be assigned to the Licensed Practical Nurse (LPN)?
- AA client post-operative day 0 requiring frequent neurovascular assessment術後第 0 天且需要頻繁神經血管評估的個案
- BA client with a new diagnosis of diabetes mellitus requiring insulin titration新診斷糖尿病且需要調整胰島素劑量的個案
- CA client admitted with acute chest pain needing a cardiac workup因急性胸痛入院且需要心臟檢查的個案
- DA client requiring dressing changes for a stable, chronic stage 2 pressure ulcer✓ 正解需要為穩定之慢性第 2 期壓力性傷口進行換藥的個案
— Explanation · 中文詳解 —
LPN 的執業範圍應為病情穩定、可預測的病人。慢性傷口照護屬於穩定且常規的護理活動，適合 LPN。新診斷病人需要大量的衛教與評估、急性胸痛需要密切監測與決策、術後初期需要複雜的評估，這些皆應由 RN 負責。
The LPN's scope of practice should involve patients who are stable and have predictable outcomes. Chronic wound care falls within stable, routine nursing activities and is appropriate for an LPN. A newly diagnosed patient requires extensive education and assessment, acute chest pain requires close monitoring and decision-making, and the early postoperative period involves complex assessment; all of these require an RN.
✦ 台美臨床差異
美國 LPN 執業範圍明確且受限；台灣護理師（RN）與護士（LPN對應）執業範疇差異較小，但在法律上仍有職責劃分。